Individual provider Active NPI

Patricia Helene Stacy, RN

  • Home Health Registered Nurse
  • Templeton, MA
National Provider Identifier
1992954911
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
RN2272540 Issued in MA
Practice address
122 Queen Lake Rd
Templeton, MA 01468-1335
Phone
(978) 895-5921
NPI assigned
Sep 15, 2008
Last updated
Mar 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X RN2272540 MA Primary

Addresses

Primary practice location

122 Queen Lake Rd
Templeton, MA 01468-1335

Mailing address

122 Queen Lake Rd
Templeton, MA 01468-1335
Phone (978) 895-5921

Other practice location 1

61 N Main St
Templeton, MA 01468-1423
Phone (978) 632-6764

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Templeton Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN2272540MAMDHome Health Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1992954911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 QUEEN LAKE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681335",
            "telephone_number": "978-895-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 QUEEN LAKE RD",
            "city": "TEMPLETON",
            "state": "MA",
            "postal_code": "014681335",
            "telephone_number": "978-895-5921"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "61 N Main St",
            "address_purpose": "LOCATION",
            "city": "Templeton",
            "state": "MA",
            "postal_code": "014681423",
            "country_code": "US",
            "telephone_number": "978-632-6764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STACY",
        "first_name": "PATRICIA",
        "middle_name": "HELENE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-15",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "MA",
            "license": "RN2272540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Templeton",
            "affiliation": "N",
            "endpointDescription": "other",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "122 Queen Lake Rd",
            "city": "Templeton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014681335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Templeton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.